Anaesthetic Management in a Patient with Fontan Circulation Posted for Elective Tibial Nailing

Main Article Content

Dr. Archita Patil
Dr. Srishti Setiya
Dr. V. Vishnu Teja

Abstract

The fatality rate for pediatric population with complex congenital cardiac disease has decreased as a result of improvements in surgical techniques and conservative management [1]. Therefore, more patients are presenting for non-cardiac surgeries as adults with congenital cardiac history [2]. For individuals with complex congenital cardiac disease and single ventricle physiology, the fontan procedure is a palliative operation that reroutes the systemic venous return to the pulmonary artery [3].  Despite improvements in outcomes, this aberrant circulation has a number of co-morbidities, including cardiac dysfunction, arrhythmias, shunt abnormalities, limited exercise ability, and other systemic manifestations [4]. These patients raise various anaesthetic concerns, such as understanding underlying cardiac morphology and mechanics and being conversant with the complexities of fontan physiology for efficient intra-operative management. In this report, we present a case of a 17-year-old male, with complex congenital heart disease with fontan physiology, posted electively for left tibia nailing under sequential combined spinal epidural anaesthesia.

Article Details

How to Cite
Dr. Archita Patil, Dr. Srishti Setiya, & Teja, D. V. V. . (2023). Anaesthetic Management in a Patient with Fontan Circulation Posted for Elective Tibial Nailing. International Journal of Medical Science and Clinical Research Studies, 3(4), 723–726. https://doi.org/10.47191/ijmscrs/v3-i4-27
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Articles

References

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